Active NPI
Matthew Raphael Chea
- Physical Therapist
- Louisville, KY
National Provider Identifier
1821721689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 415 Sam Dr
Louisville, KY 40214-6008 - Phone
- (502) 759-9876
- NPI assigned
- Jul 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP018230T | GA | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
415 Sam Dr
Louisville, KY 40214-6008
Mailing address
415 Sam Dr
Louisville, KY 40214-6008
Phone (502) 759-9876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP018230T | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1821721689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 SAM DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402146008",
"telephone_number": "502-759-9876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 SAM DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402146008",
"telephone_number": "502-759-9876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEA",
"first_name": "MATTHEW",
"middle_name": "RAPHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-07",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "CP018230T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.